<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML xmlns="http://www.w3.org/TR/REC-html40" xmlns:o =
"urn:schemas-microsoft-com:office:office" xmlns:w =
"urn:schemas-microsoft-com:office:word" xmlns:st1 =
"urn:schemas-microsoft-com:office:smarttags"><HEAD>
<META content="text/html; charset=us-ascii" http-equiv=Content-Type>
<META name=GENERATOR content="MSHTML 8.00.6001.18904"><o:SmartTagType
name="PostalCode"
namespaceuri="urn:schemas-microsoft-com:office:smarttags"></o:SmartTagType><o:SmartTagType
name="State"
namespaceuri="urn:schemas-microsoft-com:office:smarttags"></o:SmartTagType><o:SmartTagType
name="City"
namespaceuri="urn:schemas-microsoft-com:office:smarttags"></o:SmartTagType><o:SmartTagType
name="Street"
namespaceuri="urn:schemas-microsoft-com:office:smarttags"></o:SmartTagType><o:SmartTagType
name="address"
namespaceuri="urn:schemas-microsoft-com:office:smarttags"></o:SmartTagType><o:SmartTagType
name="place"
namespaceuri="urn:schemas-microsoft-com:office:smarttags"></o:SmartTagType><o:SmartTagType
name="PlaceType"
namespaceuri="urn:schemas-microsoft-com:office:smarttags"></o:SmartTagType><o:SmartTagType
name="PlaceName"
namespaceuri="urn:schemas-microsoft-com:office:smarttags"></o:SmartTagType><!--[if !mso]>
<STYLE>st1\:* {
BEHAVIOR: url(#default#ieooui)
}
</STYLE>
<![endif]-->
<STYLE>@font-face {
font-family: Goudy Old Style;
}
@page Section1 {size: 8.5in 11.0in; margin: 1.0in 1.25in 1.0in 1.25in; }
P.MsoNormal {
MARGIN: 0in 0in 0pt; FONT-FAMILY: "Times New Roman"; FONT-SIZE: 12pt
}
LI.MsoNormal {
MARGIN: 0in 0in 0pt; FONT-FAMILY: "Times New Roman"; FONT-SIZE: 12pt
}
DIV.MsoNormal {
MARGIN: 0in 0in 0pt; FONT-FAMILY: "Times New Roman"; FONT-SIZE: 12pt
}
A:link {
COLOR: blue; TEXT-DECORATION: underline
}
SPAN.MsoHyperlink {
COLOR: blue; TEXT-DECORATION: underline
}
A:visited {
COLOR: purple; TEXT-DECORATION: underline
}
SPAN.MsoHyperlinkFollowed {
COLOR: purple; TEXT-DECORATION: underline
}
SPAN.EmailStyle17 {
FONT-FAMILY: Arial; COLOR: windowtext; mso-style-type: personal-compose
}
DIV.Section1 {
page: Section1
}
</STYLE>
</HEAD>
<BODY lang=EN-US link=blue vLink=purple>
<DIV dir=ltr align=left><SPAN class=716411620-28042010><FONT color=#0000ff>I
received the response below from Judy Espinoza of the City of
Albuquerque with regards to how the city handled pharms from recent take-back
events.</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=716411620-28042010><FONT
color=#0000ff></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=716411620-28042010><FONT color=#0000ff>I
wasn't directly involved, but it is my understanding that several state and
local agencies were involved in deciding how to best handle the drugs.
While incineration was the preferred option, some regulatory snags prevented
that from happening. So the cementation option with disposal at the
local municipal solid waste (MSW) landfill was
implemented.</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=716411620-28042010><FONT
color=#0000ff></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=716411620-28042010><FONT color=#0000ff>I've
been monitoring the listserve for over a year now and get the impression that
the tenor of the pharmwaste community is that this is not a good option.
While not a perfect solution, cementation and MSW disposal is a good,
cost-effective option, especially for small, isolated, or financially-strapped
communities. Cementation is a tried and true waste stabilization method
that has been used in the hazardous and radioactive waste management world for
many years. When done properly, leaching of toxic and radioactive material
is minimized. And since today's MSW landfills are lined and capped,
infiltration of precipitation is minimized further decreasing the amount of
toxins that escape into the environment. Having procedures that require
mixing pharmwaste and cement in large batches and directly placing the waste in
the bottom of the landfill should minimize any concerns that "pharm mining" at
landfills would be a problem (a 55-gal drum of concrete weighs 800-900
lb).</FONT></SPAN></DIV>
<DIV dir=ltr align=left><FONT color=#0000ff></FONT> </DIV>
<DIV align=left><FONT size=2><STRONG><EM>Art Vollmer</EM></STRONG></FONT></DIV>
<DIV align=left><FONT size=2><STRONG><EM>Compliance Program
Manager</EM></STRONG></FONT></DIV>
<DIV align=left><FONT size=2><STRONG><EM>NMED Hazardous Waste
Bureau</EM></STRONG></FONT></DIV>
<DIV align=left><FONT size=2><STRONG><EM>Phone: (505)
476-6004</EM></STRONG></FONT></DIV>
<DIV align=left><SPAN
style="FONT-FAMILY: Webdings; COLOR: green; FONT-SIZE: 24pt">P</SPAN><SPAN
style="COLOR: green; FONT-SIZE: 10pt"> <SPAN
class=GramE>Please</SPAN> consider the environment before printing.</SPAN></DIV>
<DIV> </DIV><BR>
<DIV dir=ltr lang=en-us class=OutlookMessageHeader align=left>
<HR tabIndex=-1>
<FONT size=2 face=Tahoma><B>From:</B> Espinoza, Judy A.
[mailto:jespinoza@cabq.gov] <BR><B>Sent:</B> Wednesday, April 28, 2010 12:37
PM<BR><B>To:</B> Vollmer, Art, NMENV; Holcomb, Sarah, NMENV<BR><B>Subject:</B>
RE: [Pharmwaste] Can someone in New Mexico comment on this please?
<BR></FONT><BR></DIV>
<DIV></DIV>
<DIV dir=ltr align=left><SPAN class=517111516-28042010><FONT color=#0000ff
size=2 face=Arial>Hi,</FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=517111516-28042010><FONT color=#0000ff
size=2 face=Arial></FONT></SPAN> </DIV>
<DIV dir=ltr align=left><SPAN class=517111516-28042010><FONT color=#0000ff
size=2 face=Arial>I'm not sure what the justifications are from the NM Board of
Pharmacy but the City of Albuquerque is </FONT></SPAN><SPAN
class=517111516-28042010><FONT color=#0000ff size=2 face=Arial>currently using
the cement slurry method to get rid of large quantities of household
pharmaceuticals. NM state law is worded such that if a
drug is NOT evidence then they can't be incinerated so we are looking for a
law enforcement exemption. If this change is accomplished, then we'll
be going with the incineration because APD's incinerator meets all the Clean Air
Act requirements and is permitted. </FONT></SPAN></DIV>
<DIV dir=ltr align=left><SPAN class=517111516-28042010><FONT color=#0000ff
size=2 face=Arial></FONT></SPAN> </DIV>
<BLOCKQUOTE style="MARGIN-RIGHT: 0px" dir=ltr>
<DIV dir=ltr align=left><SPAN class=517111516-28042010>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal>NMAC 20.9.2.7.S<SPAN
style="mso-bidi-font-size: 10.0pt"> (9)<SPAN
style="mso-spacerun: yes"> </SPAN>"Solid waste" means
any garbage, refuse, sludge from a waste treatment plant, water supply
treatment plant, or air pollution control facility and other discarded
material including solid, liquid, semisolid, or contained gaseous material
resulting from industrial, commercial, mining, construction, demolition and
agricultural operations and from community activities, but does not
include:</SPAN><SPAN style="FONT-SIZE: 10pt"><o:p></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt 0.5in" class=MsoNormal><SPAN
style="FONT-SIZE: 10pt">(p) materials, other than those that
are regulated as hazardous, toxic or special waste, that are retained as
evidence in a criminal proceeding and that are required to be destroyed or
managed in accordance with a court or administrative
order.<o:p></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN
style="FONT-SIZE: 10pt"><o:p> <SPAN class=517111516-28042010><FONT
color=#0000ff face=Arial>proposed exemption </FONT></SPAN></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt 0.5in" class=MsoNormal><EM><FONT
color=#008000><U><SPAN style="FONT-SIZE: 10pt">q.</SPAN></U><SPAN
style="FONT-SIZE: 10pt"><SPAN
style="mso-spacerun: yes">
</SPAN><U>pharmaceuticals, other than those that are regulated as hazardous,
toxic or special waste, that are collected by certified law enforcement to
prevent the misuse or abuse of those
pharmaceuticals.</U></SPAN><U><o:p></o:p></U></FONT></EM></P></SPAN></DIV></BLOCKQUOTE>
<DIV><FONT size=2 face=Arial></FONT> </DIV>
<DIV><SPAN class=517111516-28042010></SPAN><FONT face=Arial><FONT size=2><FONT
color=#0000ff>D<SPAN class=517111516-28042010>oes this help?
</SPAN></FONT></FONT></FONT></DIV>
<DIV><SPAN></SPAN><FONT face=Arial><FONT color=#008000><FONT size=2><FONT
color=#0000ff>J</FONT><SPAN class=517111516-28042010><FONT
color=#0000ff>udy</FONT> </SPAN></FONT></FONT></FONT><BR></DIV>
<DIV dir=ltr lang=en-us class=OutlookMessageHeader align=left>
<HR tabIndex=-1>
<FONT size=2 face=Tahoma><B>From:</B> Vollmer, Art, NMENV
[mailto:art.vollmer@state.nm.us] <BR><B>Sent:</B> Wednesday, April 28, 2010 8:39
AM<BR><B>To:</B> Holcomb, Sarah, NMENV; Espinoza, Judy A.<BR><B>Subject:</B> FW:
[Pharmwaste] Can someone in New Mexico comment on this please?
<BR></FONT><BR></DIV>
<DIV></DIV>
<DIV dir=ltr align=left><SPAN class=598443414-28042010><FONT color=#0000ff>Can
either of you answer this? I remember Albuquerque used the cementation
option for its pharm collection event after the use of the APD incinerator was
denied. But I don't know the specifics.</FONT></SPAN></DIV>
<DIV> </DIV>
<DIV align=left><FONT size=2><STRONG><EM>Art Vollmer</EM></STRONG></FONT></DIV>
<DIV align=left><FONT size=2><STRONG><EM>Compliance Program
Manager</EM></STRONG></FONT></DIV>
<DIV align=left><FONT size=2><STRONG><EM>NMED Hazardous Waste
Bureau</EM></STRONG></FONT></DIV>
<DIV align=left><FONT size=2><STRONG><EM>Phone: (505)
476-6004</EM></STRONG></FONT></DIV>
<DIV align=left><SPAN
style="FONT-FAMILY: Webdings; COLOR: green; FONT-SIZE: 24pt">P</SPAN><SPAN
style="COLOR: green; FONT-SIZE: 10pt"> <SPAN
class=GramE>Please</SPAN> consider the environment before printing.</SPAN></DIV>
<DIV> </DIV><BR>
<DIV dir=ltr lang=en-us class=OutlookMessageHeader align=left>
<HR tabIndex=-1>
<FONT size=2 face=Tahoma><B>From:</B> pharmwaste-bounces@lists.dep.state.fl.us
[mailto:pharmwaste-bounces@lists.dep.state.fl.us] <B>On Behalf Of </B>Gressitt,
Stevan<BR><B>Sent:</B> Wednesday, April 28, 2010 7:40 AM<BR><B>To:</B>
pharmwaste@lists.dep.state.fl.us<BR><B>Subject:</B> [Pharmwaste] Can someone in
New Mexico comment on this please? <BR></FONT><BR></DIV>
<DIV></DIV>
<DIV class=Section1>
<P class=MsoNormal><FONT color=blue size=2 face=Arial><SPAN
style="FONT-FAMILY: Arial; COLOR: blue; FONT-SIZE: 10pt"><o:p> </o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT color=blue size=2 face=Arial><SPAN
style="FONT-FAMILY: Arial; COLOR: blue; FONT-SIZE: 10pt">I have just been made
aware that in <st1:State w:st="on"><st1:place w:st="on">New
Mexico</st1:place></st1:State> the Board of Pharmacy advised a take back to mix
their drugs with Quikrete. IS there any verification out there for this? Or
justification other than the famous…. <A
href="http://www.who.int/water_sanitation_health/medicalwaste/unwantpharm.pdf">http://www.who.int/water_sanitation_health/medicalwaste/unwantpharm.pdf</A>
<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT size=2 face=Arial><SPAN
style="FONT-FAMILY: Arial; FONT-SIZE: 10pt"><o:p> </o:p></SPAN></FONT></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><FONT color=#993366 size=2
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">Stevan
Gressitt, M.D., Medical Director</SPAN></FONT><o:p></o:p></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><FONT color=#993366 size=2
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">Office
of Adult Mental Health Services</SPAN></FONT><o:p></o:p></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><FONT color=#993366 size=2
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">Department
of Health and Human Services</SPAN></FONT><o:p></o:p></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><st1:place
w:st="on"><st1:PlaceName w:st="on"><FONT color=#993366 size=2
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">Marquardt</SPAN></FONT></st1:PlaceName><FONT
color=#993366 size=2 face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">
<st1:PlaceType w:st="on">Building</st1:PlaceType></SPAN></FONT></st1:place><FONT
color=#993366 size=2 face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">, 2nd
Floor</SPAN></FONT><o:p></o:p></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><FONT color=#993366 size=2
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">11 State
House Station</SPAN></FONT><o:p></o:p></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><st1:Street w:st="on"><st1:address
w:st="on"><FONT color=#993366 size=2 face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">32
Blossom Lane</SPAN></FONT></st1:address></st1:Street><o:p></o:p></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><st1:place w:st="on"><st1:City
w:st="on"><FONT color=#993366 size=2 face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">Augusta</SPAN></FONT></st1:City><FONT
color=#993366 size=2 face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">,
<st1:State w:st="on">ME</st1:State> <st1:PostalCode
w:st="on">04333-0011</st1:PostalCode></SPAN></FONT></st1:place><o:p></o:p></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><FONT color=#993366 size=2
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">Ph:
(207)287-4273</SPAN></FONT><o:p></o:p></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><FONT color=#993366 size=2
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">Fax:
(207)287-1022</SPAN></FONT><o:p></o:p></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><FONT color=#993366 size=2
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">Cell
Phone: (207) 441-0291</SPAN></FONT><o:p></o:p></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><FONT color=#993366 size=2
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: #993366; FONT-SIZE: 10pt">E-Mail :
<A title=mailto:stevan.gressitt@maine.gov
href="mailto:stevan.gressitt@maine.gov">stevan.gressitt@maine.gov</A><o:p></o:p></SPAN></FONT></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><U><FONT color=blue size=1
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: blue; FONT-SIZE: 9pt"><A
href="http://www.maine.gov/dhhs/mh/">http://www.maine.gov/dhhs/mh/</A></SPAN></FONT></U><o:p></o:p></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><FONT size=3
face="Times New Roman"><SPAN
style="FONT-SIZE: 12pt"> <o:p></o:p></SPAN></FONT></P>
<P style="TEXT-ALIGN: justify; MARGIN-LEFT: 0.5in"
class=MsoNormal><EM><B><I><FONT color=black size=1 face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: black; FONT-SIZE: 8pt; FONT-WEIGHT: bold">Confidentiality
Notice</SPAN></FONT></I></B></EM><FONT color=black size=1
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: black; FONT-SIZE: 8pt">: This
e-mail message, including any attachments, is for the sole use of the intended
recipient(s). It may contain confidential and privileged
information. Any unauthorized review, copy, use, disclosure, or
distribution is prohibited. If you are not the intended recipient, please
note that any dissemination, distribution or copying of this is strictly
prohibited. Please contact me by reply e-mail or telephone and destroy all
copies of<B><I><SPAN style="FONT-STYLE: italic; FONT-WEIGHT: bold">
</SPAN></I></B>this message</SPAN></FONT><FONT color=blue size=1
face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: blue; FONT-SIZE: 8pt">.</SPAN></FONT><FONT
size=1 face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; FONT-SIZE: 8pt"><o:p></o:p></SPAN></FONT></P>
<P style="TEXT-ALIGN: justify; MARGIN-LEFT: 0.5in" class=MsoNormal><FONT
color=black size=1 face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; COLOR: black; FONT-SIZE: 8pt">The
Department of Health and Human Services (DHHS) does not discriminate on the
basis of disability, race, color, creed, gender, sexual orientation, age, or
national origin, in admission to, access to, or operations of its programs,
services, or activities, or its hiring or employment practices. This
notice is provided as required by Title II of the Americans with Disabilities
Act of 1990 and in accordance with the Civil Rights Act of 1964 as amended,
Section 504 of the Rehabilitation Act of 1973, as amended, the Age
Discrimination Act of 1975, Title IX of the Education Amendments of 1972 and the
Maine Human Rights Act and Executive Order Regarding State of Maine Contracts
for Services. Questions, concerns, complaints or requests for additional
information regarding the <U1:PLACE w:st="on"><U1:CITY w:st="on"><st1:City
w:st="on"><st1:place w:st="on">ADA</U1:CITY></st1:City></st1:place> may be
forwarded to DHHS’ ADA Compliance/EEO Coordinators, <U1:ADDRESS
w:st="on"><U1:STREET w:st="on"><U1:STREET w:st="on"><U1:ADDRESS
w:st="on"><st1:address w:st="on"><st1:Street w:st="on">11 SHS-221 State
Street</U1:ADDRESS></U1:STREET></U1:ADDRESS></U1:STREET></st1:Street>, <U1:CITY
w:st="on"><st1:City w:st="on">Augusta</U1:CITY></st1:City>, <U1:STATE
w:st="on"><st1:State w:st="on">Maine</U1:STATE></st1:State> <U1:POSTALCODE
w:st="on"><st1:PostalCode w:st="on">04333</st1:address></st1:PostalCode>,
207-287-4289 (V), 207-287-3488 (V), 1-800-606-0215 (TTY).
</SPAN></FONT><FONT size=1 face="Goudy Old Style"><SPAN
style="FONT-FAMILY: 'Goudy Old Style'; FONT-SIZE: 8pt"><o:p></o:p></SPAN></FONT></P>
<P style="MARGIN-LEFT: 0.5in" class=MsoNormal><FONT size=3
face="Times New Roman"><SPAN
style="FONT-SIZE: 12pt"><o:p> </o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT size=3 face="Times New Roman"><SPAN
style="FONT-SIZE: 12pt"><o:p> </o:p></SPAN></FONT></P></DIV>
<DIV> </DIV><BR><BR>Confidentiality Notice: This e-mail, including all
attachments is for the sole use of the intended recipient(s) and may contain
confidential and privileged information. Any unauthorized review, use,
disclosure or distribution is prohibited unless specifically provided under the
New Mexico Inspection of Public Records Act. If you are not the intended
recipient, please contact the sender and destroy all copies of this message. --
This email has been scanned by the Sybari - Antigen Email System.
<BR><BR><BR></BODY></HTML>